The Assessment of the quality of life and functional status of multiple sclerosis patients
Journal Title: Rehabilitacja Medyczna - Year 2013, Vol 17, Issue 2
Abstract
Background: Multiple sclerosis is a chronic demyelinating disease of the central nervous system. The patient’s state is determined by factors such as the type of MS, the time since diagnosis, family support and many other individual characteristics. The prolonged and progressive nature of the disease leads to a decrease in the quality of life and the gradual deterioration of a patient’s functional state.Purpose: The aim of this study was to evaluate the quality of life in people with multiple sclerosis and to determine the relationship between the quality of life and the disease duration, the type of MS and the functional state. The second goal was to compare the questionnaires in order to assess the quality of life in patients with MS.Material and methods: The study involved 35 consecutive patients with a clinical diagnosis of multiple sclerosis. Quality of life was assessed using the SF-36 and MSIS-29 questionnaires. To assess the patients' functional state the Timed Up & Go test, De Souza scale and a 4-test balance scale were used.Results: The mean scores of all subscales of the SF-36 were below the norm in the study group. There was a strong positive correlation between the results of Physical Functioning (PF), Role Physical (RP) and Physical Summary Component (PSC) and the results of the four-step balance scale and the De Souza scale, as well as a strong negative correlation between the PF, RP, PSC and the Timed Up & Go results. The longer the duration of the disease was, the lower the scores assessed on the PF and PSC subscales were.Conclusion: 1. A longer duration of the disease and a worse functional state, lowers the quality of life of patients with multiple sclerosis. It seems that this group of patients requires more support from formal and informal caregivers and institutions within the health care system. 2. A significant correlation between the results obtained in patients with MS in the SF-36 and MSIS-29 questionnaires, suggests that using them alternatively in the assessment of some areas of the quality of life may be justified.
Authors and Affiliations
Anna Drewniak, Agnieszka Śliwka
Keywords
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